HomeMy WebLinkAboutPermit Mechanical 1998-12-31
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSORS MAP: /7 V ~ / CJ
LOT'
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BLOCK,
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OWNER'
ADDRl:C'C,'.
CITY,
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S~ATE: ~ t1-1-,
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JOB NUMBER q r: I 517
225 Fifth Street
Springfield, Oregon 97477
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(IS ro (fl)
_ TAX LOT:
SUBDIVISION:
PHONE:~ '11..( - 2. L{ 7 (
w, J Y .3 -0,2./
ZIP: q1~)~
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r- u ("4.C t,lIn.., " \1Al ~(ih~\I Ihl> !1r~n.Utililv ,
DEMOLISH NOlifica\i,q~p'r'fllll')(1;~ ~Ies ar~jl to~~~ (' \1\1,,;'\
In UI\H ~2-lj~yi'!O'ARi",J~:ro, .~
UUl::IVe6WSf!lay OUli::l1l1 \';UfJll:::" VI 1I1e IUI~O uy
call~I3T~C1lIltel'( (Note: tba:>llllflllhop,(l PHONE
number for the Oregon Utility Notificaiion
Gamer is l-aOO-33<::-2:N-t;.
DESCRIBE WORK: -c.",<'\-.H 1 ~r;o...s
- ' ()
N~OTICE: REMODEL ADDITION'
TurC\ nen~ .'T ""Ill},) E"""""" 1- -..-. "
- -. ...,.. - .. .-- ,,, I'll... I " 1'- VVvnF\
Cd'N.TfRiI.'Gft<rJa'S !:l~ THIS PERMIT IS N6EiDRESS
G{N'E'R~F-Nr.l=n ()~ 1.<:: Jl~JlMnmll:1"\ "'"p
PL<W'r:{BmanA Y PERI()O
'lY\.~ .[.J Nt \ \.!:!
MECHANICAl'
ELECTRICAl'
QUAD AREA"
. OF BLDGS,
OCCY GROUP'
. OF STORIES:
WATER HEATER'
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~1q~
'-t 1 J 0 () I ~yv..LJ.'(
'( l.( 7- ~1.{1.{.r
Sf~
CfI4.78'
- OFFICE USE -
LAND USE,
· OF UNITS:
CONSTR. TYPE: _
HEAT SOURCE:
RANGE: _
FLOOD PLAIN'
ZONING CODE:
. OF BDRMS,
SECONDARY HEAT'
SQUARE FOOTAGE:
To request an Inspection, you must call 726.3769, This Is a 24 hour recording, All Inspections requested before 7:00 a,m, will be
made the same working day, Inspections requested after 7:00 a.m. will be made the following work day.
D'Temporary Electric
o Site Inspection - To be mado
after excavation, but prior to
setting forms.
o Underslab Plumbing/Electrical/
Mechanical - Prior to cover.
o Footing - After trenches are
excavated.
o Masonry - Steel location, bond
beams, grouting.
D Foundation - After forms are
erected. but prior to concrete
placemont.
o Underground Plumbing - Prior
to filling trench,
o Underlloor Plumblng/Mechanlcel
- Prior to Insulation or decking.
o Post and Beam - Prior to floor
Insulation or decking. ~
" "I',
O Floor Insulation - PrIor to
decking, '
o Sanitary Sewer - Prior to filling
trench.
o Storm Sewer - Prior to filling
trench.
o Water Line - Prior to filling
trench.
o Rough Plumbing - Prior to
cover.
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtai n permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wail/Ceiling Insulation - Prior to
cover.
o Drywall - Prior 10 taping,
o Wood Stovo - After Installation.
o Insert - After fireplace approval
and installation of unit,
o Curbeut & Al,proaeh - After
. forms are erected but prior to
placement at concrete.
o Sidewalk & Driveway - After
excavation Is compiete, forms
and sub-base material In place.
o Fence - VVhen completed.
o Street Trees - When all required
trees are planted.
o Final Plumbing - When all
plumbing w9rl< Is complet.e.
o Final Electrical - When all'
electrical work is complete.
o Final Mechanical - When all
mechanical work Is complete.
o Final Building - When all
required Inspections have been
approved and building is
completed,
OOthsr
MOBILE HOME INSPECTIONS
o Blocking and Sel.Up - When all
blocking Is complete.
o PlumbIng Connections - When
home has been connected to
water and sewer.
o Electrical Connection - When
blocking, set.up, and plumbing
lnspecllons have been approved
and the home is connected to
the service panel.
o Final - After all required
Inspections are approved and
porches, skirting, decks, and
venting have been Installed..
Lot faces
Lot Type _
Interior
Lot sq, ftg,
Lot coverage
Corner
Topography
Total height
"
Panhandle
Cul.de.sac
I PL
IN
Is
W'
E
'1 "~
BUILDING PERMIT
ITEM SQ, FT, X $/SQ, FT, = VALUE
Main
Garage
Carport
" . I ..
Tolal Value
" ,
Building Permit Fee
Slate Surcharge
Tolal Fcc
(A)
"
.',
SYSTEMS DEVELOPMENT CHARGE (SDC)
~ .:
"
, (B).
, ' ,
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
N'
Sanitary S~wer
Water
FT,
FT,
FT,
Storm Sewer
Mobile Home
Plumbing Permit
State Surcharge
Total Charge
(C)
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
N'
Wood Stove/lnsert/Flreplace Unit
LJlry r Vent .
,"'--,
r /i,(~',c' , . I. ~i'
u;....""-;J,~_.
Mechanical Permit
Issuance
State Surcharge
Total Permit
(0)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
Curbcut
It
Demolition
State Surcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT OUE (excluding electrical)
(A, B, C, 0, and E Combined)
FEE
,0'.00
/5', J ~
/v. 0,)
VY/7,f
'2 b- u>
,)': .\.~~ \ : .
. ~._l "
i .HE PROPOSED WORK tN THE.
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this application must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
HSE GAR ACC'
I
I I
I==- _~J
APPROVE['l'
. ., . .,
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, In 'all respects; conform to the Ordinance
: adopted by the, Cit~" of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspender;j or ~evoked at any time
upon violation of any provisions 0; s'ald ordinances.
Pian Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Reviewed By
Date
Systems I?evelopment Cl1arge Is.due on all undeveloped
properties' within the Clty'ilmlts which are being Improved,
ADDr~IONAL COMMI:MTS,
\l~ILd> ~'
. -\.', tI\~l/ /0 00
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that atl
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon perlalnlng to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time, that each address Is readable
from the street, that the permit card Is located at the front
of the properly, and the approved set of plans will remain
on the site at all tI~es_ during construction.
Signature -1#'M..0..J.W~
, 1-~I-t2>
Date
VALIDATION:
RECEIPT NUMBER ()2.,:)-:L/ c..; /
DATE PAID.kl:f.!JJ.iX
AMOUNT RECEIVED'Vl:il-1 tJ. C;7:)
RECEIVED Byn m~~@.dcJ